James R. Rudd Sr., M.D., Llc

LBN: James R. Rudd Sr., M.D., Llc
James R. Rudd Sr., M.D., Llc is an health care organization with primary practice located at 206 W 5Th St , Deridder LA 70634-4856. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. James R. Rudd Sr., M.D., Llc can be contacted via phone (337) 463-5582, or through Rudd, James R. via phone (337) 463-5582.

Contact Information

Primary practice address
206 W 5Th St Deridder LA 70634-4856
Phone: (337) 463-5582
Fax: (337) 460-1348
Website:
Map and Directions
Authorized official contact:
Name: Rudd, James R. Doctor of Medicine (MD)
Phone: (337) 463-5582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 15081 Louisiana

Profile Details

NPI number 1114223898
LBN Legal business name James R. Rudd Sr., M.D., Llc
DBA Doing business as
Authorized official Rudd, James R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2011
Last updated Jan 28th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114223898 NPPES
Louisiana MEDICAID 1329754

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